Table 18 : Evolution of the Expanded Programme on Immunisation indicators Indicators/ Year 2006 2007 2008 2009 2010 2011 2012 TCV OPV 3 92,03 % 94,9 % 87,9 % 88,4 % 85 % 88 % 86 % DTC TCV 3 93,4 % 94,9 % 87,9 % 88,7 % 85 % 89 % 86 % 84 % 96,87 % 90,9 % 84,7 % 88 % 85 % 85 % 6,28 % 9,10 % 13,24 % 10,32 % 11 % 7% 11 % 2,1 2 2,1 1,9 2,15 2,90 3,16 TCV VAR Dropout rate Monitoring rate for PFA non Polio Sources : JRF 2011, JRF 2012 of the Ministry of Public Health  Integrated Management of childhood illness (IMCI) 308.In 2007, the three leading causes of hospital mortality of children under 5 years were pneumonia (21%), malaria (20%) and diarrhea (17%). In 2012, a reduction of deaths of children under 5 by diarrhea (7.8%) and pneumonia (5.8%) was recorded, while deaths due to malaria has increased to 21.6%.15. 309.Since 2012, the updating of the Integrated Management of Childhood Illness (IMCI) began. 310.98 524 health workers were trained in clinical IMCI and the targets set for the development of community IMCI sites were reached at 100% of which 35.51% are operational. Table 19 : Trend in the operationalisation of community IMCI sites Numbers of districts involved 2007 2008 2009 2010 2011 2012 Total 2007 - 2012 Rate of implementation until 2012 6 13 5 1 59 48 107 95.53 % Sites of numbers with 162 316 357 4 8 045 9 561 17 606 100 % trained CW CW of numbers 316 584 498 8 16 090 19 123 35 213 100 % trained in IMCI Source : Ministry of Public Health / Department of Health of the Child of the Mother and Reproduction. 311.The involvement of community workers trained in IMCI and dispatched at community level has contributed to the increase in the number of children with access to health care for common illnesses affecting children under 5 years, including acute respiratory infections, diarrhea and malaria. The number of children who received care from community workers has increased since 2007. Table 20 : Trend in the number of sick children in care at the community level Year 15 2007 2008 2009 Source : Health Sector Statistical Yearbook 49 2010 2011 2012

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